Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study

Abstract Background Distorted thoughts are common in Major Depressive Disorder (MDD), and can impact patients’ perceptions of depression severity, and predict chronicity and treatment response. This study aimed to investigate whether distorted thoughts mediate depressive symptoms in MDD over a 6-mon...

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Main Authors: Adriana Munhoz Carneiro, Danilo Assis Pereira, Fernando Fernandes, Makilim Nunes Baptista, André Russowsky Brunoni, Ricardo Alberto Moreno
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-023-02178-y
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author Adriana Munhoz Carneiro
Danilo Assis Pereira
Fernando Fernandes
Makilim Nunes Baptista
André Russowsky Brunoni
Ricardo Alberto Moreno
author_facet Adriana Munhoz Carneiro
Danilo Assis Pereira
Fernando Fernandes
Makilim Nunes Baptista
André Russowsky Brunoni
Ricardo Alberto Moreno
author_sort Adriana Munhoz Carneiro
collection DOAJ
description Abstract Background Distorted thoughts are common in Major Depressive Disorder (MDD), and can impact patients’ perceptions of depression severity, and predict chronicity and treatment response. This study aimed to investigate whether distorted thoughts mediate depressive symptoms in MDD over a 6-month period. Method These are secondary results from a study that followed 119 patients diagnosed with moderate to severe MDD for 6 months. Diagnoses were confirmed by the Structured Interview for DSM-IV (SCID-CV). The analysis was composed of results from the Hamilton Depression Rating Scale (HAMD-17), the Montgomery-Asberg Depression Rating Scale (MADRS), the second edition of the Beck Depression Inventory (BDI-II), and the Depression Thoughts Scale (DTS) collected at weeks 1, 8, 12 and 24. Results Results showed that the DTS mediated the relationship between depressive symptoms experienced approximately 3 months after starting antidepressant treatment. Conclusion Cognitive distortions were linked as a mediator to depressive symptoms, highlighting the importance of early psychological interventions in patients with MDD who exhibit these distortions. Trial registration NCT02268487.
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spelling doaj.art-a613d34c8f784431a4a56bfd9e1cfaa72023-11-20T11:00:10ZengBMCHealth and Quality of Life Outcomes1477-75252023-08-012111810.1186/s12955-023-02178-yDistorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal studyAdriana Munhoz Carneiro0Danilo Assis Pereira1Fernando Fernandes2Makilim Nunes Baptista3André Russowsky Brunoni4Ricardo Alberto Moreno5Mood Disorders Unit, Faculty of Medicine FMUSP, University of Sao PauloIndependent ConsultantMood Disorders Unit, Faculty of Medicine FMUSP, University of Sao PauloLaboratory of Psychometric Evaluation in Mental Health -LAPSAM III - São Francisco UniversityDepartment of Internal Medicine, Faculty of Medicine FMUSP, University of Sao PauloMood Disorders Unit, Faculty of Medicine FMUSP, University of Sao PauloAbstract Background Distorted thoughts are common in Major Depressive Disorder (MDD), and can impact patients’ perceptions of depression severity, and predict chronicity and treatment response. This study aimed to investigate whether distorted thoughts mediate depressive symptoms in MDD over a 6-month period. Method These are secondary results from a study that followed 119 patients diagnosed with moderate to severe MDD for 6 months. Diagnoses were confirmed by the Structured Interview for DSM-IV (SCID-CV). The analysis was composed of results from the Hamilton Depression Rating Scale (HAMD-17), the Montgomery-Asberg Depression Rating Scale (MADRS), the second edition of the Beck Depression Inventory (BDI-II), and the Depression Thoughts Scale (DTS) collected at weeks 1, 8, 12 and 24. Results Results showed that the DTS mediated the relationship between depressive symptoms experienced approximately 3 months after starting antidepressant treatment. Conclusion Cognitive distortions were linked as a mediator to depressive symptoms, highlighting the importance of early psychological interventions in patients with MDD who exhibit these distortions. Trial registration NCT02268487.https://doi.org/10.1186/s12955-023-02178-yDepressive disorderCognitive distortionsThinkingDysfunctional thinkingDepressionMediation
spellingShingle Adriana Munhoz Carneiro
Danilo Assis Pereira
Fernando Fernandes
Makilim Nunes Baptista
André Russowsky Brunoni
Ricardo Alberto Moreno
Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
Health and Quality of Life Outcomes
Depressive disorder
Cognitive distortions
Thinking
Dysfunctional thinking
Depression
Mediation
title Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
title_full Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
title_fullStr Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
title_full_unstemmed Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
title_short Distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder: a longitudinal study
title_sort distorted thoughts as a mediator of depressive symptoms in patients with major depressive disorder a longitudinal study
topic Depressive disorder
Cognitive distortions
Thinking
Dysfunctional thinking
Depression
Mediation
url https://doi.org/10.1186/s12955-023-02178-y
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